Finding 42884 (2022-004)

Significant Deficiency
Requirement
N
Questioned Costs
-
Year
2022
Accepted
2023-03-30
Audit: 48518
Organization: St. Luke's Hospital (ND)
Auditor: Eide Bailly LLP

AI Summary

  • Core Issue: The Hospital's loan reserve account was underfunded by about $45,000 due to inadequate internal control policies.
  • Impacted Requirements: Compliance with 2 CFR 200.303(a) requires effective internal controls over federal awards.
  • Recommended Follow-Up: Enhance internal control policies to ensure proper funding of reserve accounts.

Finding Text

2022-004 Department of Agriculture Federal Financial Assistance Listing #10.766 Community Facilities Loans and Grants Cluster Special Tests and Provisions Significant Deficiency in Internal Control Over Compliance and Noncompliance Not Considered Material Criteria - 2 CFR 200.303(a) establishes that the auditee must establish and maintain effective internal control over the federal award that provides assurance that the entity is managing the federal award in compliance with federal statutes and conditions of the award. Condition - During our testing, it was noted that one of the loan reserve accounts was underfunded by approximately $45,000. Cause - The Hospital did not have an adequate internal control policy in place to ensure the proper funding of the reserve account. Effect - Although management obtained a waiver for the noncompliance, the lack of adequate policies governing proper funding of reserve increases the risk that employees participating in the federal award administration may not be able to detect and correct noncompliance in a timely manner. Questioned Costs - None reported Context - Sampling was not used. The Hospital has two reserve accounts that were tested. Repeat Finding from Prior Years - No Recommendation - We recommend that the Hospital enhance internal control policies to ensure that there is proper funding of the reserve accounts. Views of Responsible Officials - Management agrees with the finding.

Corrective Action Plan

Finding 2022-004 Federal Agency Name: Department of Agriculture Program Name: Community Facilities Loans and Grants Federal Assistance Listing #10.766 Finding Summary: One of the Hospital?s required reserve accounts was underfunded by approximately $45,000. Responsible Individuals: Jody Nelson, CEO and Megan Peterson, CFO Corrective Action Plan: Proper tracking of all reserve accounts will be put in place in order to make sure they are all properly funded throughout the year. Anticipated Completion Date: 6/30/2023

Categories

Special Tests & Provisions Significant Deficiency Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 42881 2022-003
    Material Weakness Repeat
  • 42882 2022-003
    Material Weakness Repeat
  • 42883 2022-003
    Material Weakness Repeat
  • 42885 2022-003
    Material Weakness Repeat
  • 42886 2022-004
    Significant Deficiency
  • 619323 2022-003
    Material Weakness Repeat
  • 619324 2022-003
    Material Weakness Repeat
  • 619325 2022-003
    Material Weakness Repeat
  • 619326 2022-004
    Significant Deficiency
  • 619327 2022-003
    Material Weakness Repeat
  • 619328 2022-004
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
10.766 Community Facilities Loans and Grants $384,561
93.498 Provider Relief Fund $167,581
93.301 Small Rural Hospital Improvement Grant Program $159,981